Meta-analysis of organizational skills interventions for children and adolescents with Attention-Deficit/Hyperactivity Disorder

Aida Bikic, Brian Reichow, Spencer A. McCauley, Karim Ibrahim, Denis Sukhodolsky

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Resumé

Abstract
Background: In addition to problems with attention and hyperactivity, children with ADHD present with poor organizational skills required for managing time and materials in academic projects. Organizational skills training (OST) has been increasingly used to address these deficits. We conducted a systematic review and meta-analysis of OST in children with ADHD.
Objectives: The objective of this study was to systematically review the evidence of the effects of OST for children with ADHD for organizational skills, attention, and academic performance.
Methods: We searched 3 electronic databases to locate randomized controlled trials published in English in peer-reviewed journals comparing OST with parent education, treatment-as-usual, or waitlist control conditions. Standardized mean difference effect sizes from the studies were statistically combined using a random-effects meta-analyses across six outcomes: teacher- and parent-rated organizational skills, teacher- and parent-rated inattention, teacher-rated academic performance, and grade point average (GPA). Risk of bias was assessed for randomization, allocation concealment, blinding of participants and treatment personnel, blinding of outcome assessors, incomplete outcome data, and selective outcome reporting.
Results: Twelve studies involving 1054 children (576 treatment, 478 control) were included in the meta-analyses. Weighted mean effect sizes for teacher- and parent-rated outcome measures of organizational skills were g = 0.54 (95% CI 0.17 to 0.91) and g = 0.83 (95% CI 0.32 to 1.34), respectively. Weighted mean effect sizes of teacher- and parent-rated symptoms of inattention were g = 0.26 (95% CI 0.01 to 0.52) and g = 0.56 (95% CI 0.38 to 0.74), respectively. Weighted standardized mean effect size for teacher-rated academic performance and GPA were g = 0.33 (95% CI 0.14 to 0.51) and g = 0.29 (95% CI 0.07 to 0.51), respectively.
Conclusions: OST leads to moderate improvements in organizational skills of children with ADHD as rated by teachers and large improvements as rated by parents. More modest improvements were observed on the ratings of symptoms of inattention and academic performance.
OriginalsprogEngelsk
TidsskriftClinical Psychology Review
Vol/bind52
Sider (fra-til)108-123
ISSN0272-7358
DOI
StatusUdgivet - 2017

Citer dette

Bikic, Aida ; Reichow, Brian ; A. McCauley, Spencer ; Ibrahim, Karim ; Sukhodolsky, Denis . / Meta-analysis of organizational skills interventions for children and adolescents with Attention-Deficit/Hyperactivity Disorder. I: Clinical Psychology Review. 2017 ; Bind 52. s. 108-123.
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title = "Meta-analysis of organizational skills interventions for children and adolescents with Attention-Deficit/Hyperactivity Disorder",
abstract = "AbstractBackground: In addition to problems with attention and hyperactivity, children with ADHD present with poor organizational skills required for managing time and materials in academic projects. Organizational skills training (OST) has been increasingly used to address these deficits. We conducted a systematic review and meta-analysis of OST in children with ADHD.Objectives: The objective of this study was to systematically review the evidence of the effects of OST for children with ADHD for organizational skills, attention, and academic performance.Methods: We searched 3 electronic databases to locate randomized controlled trials published in English in peer-reviewed journals comparing OST with parent education, treatment-as-usual, or waitlist control conditions. Standardized mean difference effect sizes from the studies were statistically combined using a random-effects meta-analyses across six outcomes: teacher- and parent-rated organizational skills, teacher- and parent-rated inattention, teacher-rated academic performance, and grade point average (GPA). Risk of bias was assessed for randomization, allocation concealment, blinding of participants and treatment personnel, blinding of outcome assessors, incomplete outcome data, and selective outcome reporting.Results: Twelve studies involving 1054 children (576 treatment, 478 control) were included in the meta-analyses. Weighted mean effect sizes for teacher- and parent-rated outcome measures of organizational skills were g = 0.54 (95{\%} CI 0.17 to 0.91) and g = 0.83 (95{\%} CI 0.32 to 1.34), respectively. Weighted mean effect sizes of teacher- and parent-rated symptoms of inattention were g = 0.26 (95{\%} CI 0.01 to 0.52) and g = 0.56 (95{\%} CI 0.38 to 0.74), respectively. Weighted standardized mean effect size for teacher-rated academic performance and GPA were g = 0.33 (95{\%} CI 0.14 to 0.51) and g = 0.29 (95{\%} CI 0.07 to 0.51), respectively. Conclusions: OST leads to moderate improvements in organizational skills of children with ADHD as rated by teachers and large improvements as rated by parents. More modest improvements were observed on the ratings of symptoms of inattention and academic performance.",
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author = "Aida Bikic and Brian Reichow and {A. McCauley}, Spencer and Karim Ibrahim and Denis Sukhodolsky",
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Meta-analysis of organizational skills interventions for children and adolescents with Attention-Deficit/Hyperactivity Disorder. / Bikic, Aida ; Reichow, Brian ; A. McCauley, Spencer; Ibrahim, Karim; Sukhodolsky, Denis .

I: Clinical Psychology Review, Bind 52, 2017, s. 108-123.

Publikation: Bidrag til tidsskriftReviewForskningpeer review

TY - JOUR

T1 - Meta-analysis of organizational skills interventions for children and adolescents with Attention-Deficit/Hyperactivity Disorder

AU - Bikic, Aida

AU - Reichow, Brian

AU - A. McCauley, Spencer

AU - Ibrahim, Karim

AU - Sukhodolsky, Denis

PY - 2017

Y1 - 2017

N2 - AbstractBackground: In addition to problems with attention and hyperactivity, children with ADHD present with poor organizational skills required for managing time and materials in academic projects. Organizational skills training (OST) has been increasingly used to address these deficits. We conducted a systematic review and meta-analysis of OST in children with ADHD.Objectives: The objective of this study was to systematically review the evidence of the effects of OST for children with ADHD for organizational skills, attention, and academic performance.Methods: We searched 3 electronic databases to locate randomized controlled trials published in English in peer-reviewed journals comparing OST with parent education, treatment-as-usual, or waitlist control conditions. Standardized mean difference effect sizes from the studies were statistically combined using a random-effects meta-analyses across six outcomes: teacher- and parent-rated organizational skills, teacher- and parent-rated inattention, teacher-rated academic performance, and grade point average (GPA). Risk of bias was assessed for randomization, allocation concealment, blinding of participants and treatment personnel, blinding of outcome assessors, incomplete outcome data, and selective outcome reporting.Results: Twelve studies involving 1054 children (576 treatment, 478 control) were included in the meta-analyses. Weighted mean effect sizes for teacher- and parent-rated outcome measures of organizational skills were g = 0.54 (95% CI 0.17 to 0.91) and g = 0.83 (95% CI 0.32 to 1.34), respectively. Weighted mean effect sizes of teacher- and parent-rated symptoms of inattention were g = 0.26 (95% CI 0.01 to 0.52) and g = 0.56 (95% CI 0.38 to 0.74), respectively. Weighted standardized mean effect size for teacher-rated academic performance and GPA were g = 0.33 (95% CI 0.14 to 0.51) and g = 0.29 (95% CI 0.07 to 0.51), respectively. Conclusions: OST leads to moderate improvements in organizational skills of children with ADHD as rated by teachers and large improvements as rated by parents. More modest improvements were observed on the ratings of symptoms of inattention and academic performance.

AB - AbstractBackground: In addition to problems with attention and hyperactivity, children with ADHD present with poor organizational skills required for managing time and materials in academic projects. Organizational skills training (OST) has been increasingly used to address these deficits. We conducted a systematic review and meta-analysis of OST in children with ADHD.Objectives: The objective of this study was to systematically review the evidence of the effects of OST for children with ADHD for organizational skills, attention, and academic performance.Methods: We searched 3 electronic databases to locate randomized controlled trials published in English in peer-reviewed journals comparing OST with parent education, treatment-as-usual, or waitlist control conditions. Standardized mean difference effect sizes from the studies were statistically combined using a random-effects meta-analyses across six outcomes: teacher- and parent-rated organizational skills, teacher- and parent-rated inattention, teacher-rated academic performance, and grade point average (GPA). Risk of bias was assessed for randomization, allocation concealment, blinding of participants and treatment personnel, blinding of outcome assessors, incomplete outcome data, and selective outcome reporting.Results: Twelve studies involving 1054 children (576 treatment, 478 control) were included in the meta-analyses. Weighted mean effect sizes for teacher- and parent-rated outcome measures of organizational skills were g = 0.54 (95% CI 0.17 to 0.91) and g = 0.83 (95% CI 0.32 to 1.34), respectively. Weighted mean effect sizes of teacher- and parent-rated symptoms of inattention were g = 0.26 (95% CI 0.01 to 0.52) and g = 0.56 (95% CI 0.38 to 0.74), respectively. Weighted standardized mean effect size for teacher-rated academic performance and GPA were g = 0.33 (95% CI 0.14 to 0.51) and g = 0.29 (95% CI 0.07 to 0.51), respectively. Conclusions: OST leads to moderate improvements in organizational skills of children with ADHD as rated by teachers and large improvements as rated by parents. More modest improvements were observed on the ratings of symptoms of inattention and academic performance.

KW - ADHD

KW - Academic interventions

KW - Behavioral treatment

KW - Organizational skills training

KW - Time management

KW - Humans

KW - Parents

KW - Treatment Outcome

KW - Behavior Therapy/methods

KW - Adolescent

KW - Attention Deficit Disorder with Hyperactivity/psychology

KW - Time Management/psychology

KW - Child

KW - Task Performance and Analysis

U2 - 10.1016/j.cpr.2016.12.004

DO - 10.1016/j.cpr.2016.12.004

M3 - Review

C2 - 28088557

VL - 52

SP - 108

EP - 123

JO - Clinical Psychology Review

JF - Clinical Psychology Review

SN - 0272-7358

ER -